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The purpose of this study was to gain an understanding of the ambiguities and uncertainties experienced by a diverse group of African-American caregivers. The study applied Schlossberg's transition theory (TT) and Mishel’s revised uncertainty theory to narratives of self-identified African-American caregivers who provided care at least 5 h a week. The men (6) and women (8) were mostly unmarried, mostly caring for a parent or grandparent. The caregivers’ average age was 52 (SD = 19; ages ranged from 24 to 82 years); and the care recipients’ average age was 84 (SD = 9). Six care recipients had dementia and the remainder had multiple disease diagnoses. Narratives were obtained by in-depth interviews or focus group discussions. These were audio-recorded, transcribed verbatim professionally and analyzed independently by trained coders. Schlossberg’s TT contextualized whereas Mishel’s RUIT illuminated the characteristics of the transition, its associated uncertainty, and their relationship to the development of caregiver stress. Situational factors such as difficulties with illness symptoms of the care recipient, conflict between previous experience and current expectations and the adjustments to the new caregiving role, burdened younger caregivers more than older caregivers. Self-factors related to lack of knowledge about the illness and feelings of lack of control. Social support was predominantly provided by family members, and its absence resulted in conflict among siblings and caregiver stress. The most common coping strategies include religiosity, expectations of reciprocity, and coming to terms with the uncertainty. Understanding the feelings, perceptions and needs of caregivers in transition is tantamount to providing nursing care.

Purpose: High central blood pressure is more predictive of cardiovascular disease (CVD) versus high peripheral blood pressure. Measures of central pressures (CPs) include, central systolic blood pressure (CSBP) and central diastolic blood pressure. Measures of central pressures augmentation (CPsA) include augmentation pressure (AP) and the augmentation index @ 75 beats$min-1 (AIx@75). Increased sympathetic tone (ST) is also associated with CVD. The low to high frequency ratio (LF/HF) is often used to determine sympatho-vagal balance. Given the association between ST, CPs, CPsA and CVD there is a need to understand the association between these predictors of CVD. The aims of this study were to examine the association between the LF/HF ratio, CPs, and CPsA in men and women collectively and based on gender. Methods: We measured the LF/HF ratio, CSBP, AP, and AIx@75 in 102 participants (41F/61M). The LF/ HF ratio was determined via power spectral density analysis. CSBP, AP, and AIx@75 were determined via applanation tonometry. Results: The LF/HF ratio was inversely associated with AP (r 5 -0.26) and AIx @75 (r 5 -0.29) in the combined group of men and women. The LF/HF ratio was inversely associated with CSBP (r 5 -0.27), AP (r 5 -0.28), and AIx@75 (r 5 -0.32) in men, but not in women. Conclusion: There is an inverse association between the LF/HF ratio, AP, and AIx@75 in men and women combined. The association between the LF/HF ratio, CSBP, AP, and AIx@75, differs based on gender. © 2020 Akademiai Kiado, Budapest.

Child and Adolescent Development: A Social Justice Approach features portraits of development at each stage interwoven with the findings of developmental science research on how inequitable resources and opportunities, which are influenced by social, economic, and political factors, can impact development. The text also presents findings on how such data can be used to reduce inequities for children and their families, thereby optimizing development and allowing individuals to reach their full potential no matter who they are. The text begins with a chapter that briefly describes the stages, domains, and patterns of child and adolescent development, as well as traditional and contemporary theories. Subsequent chapters provide insight into the research methods of developmental science and explain how epigenetic influences affect development. The book then progresses chronologically, discussing the physical, cognitive, and emotional changes that occur within each stage, guiding readers through a tapestry of development from conception through adolescence. Throughout, Pan & Zoom sections supply both big-picture and microscopic understandings of development, Tech & Media asides highlight the influences that technology and media can have on child and adolescent development, and Mentor Minutes provide readers with practical wisdom through interviews with diverse professionals working in the field. Featuring a timely and much-needed perspective on development, Child and Adolescent Development is an ideal resource for courses in psychology, education, counseling, human services, and social work.

OBJECTIVE: Guided by the Transactional Model of Stress and Coping, this study seeks to (1) examine the independent relationships between the level of distress among burn survivors, pre-morbid psychiatric history, and burn severity on length of hospital stay, and (2) to examine the relationship between having a premorbid psychiatric history and level of distress following a burn injury., METHODS: Data collected by the National Institute on Disability, Independent Living, Rehabilitation Research funded Burn Model System (N = 846) was used to theoretically link psychological distress with the length of hospital stay for survivors of burn injuries. Structural Equation Modeling was used to evaluate the aims of this study., RESULTS: Although counterintuitive, and while significant, burn severity was found to have a rather modest association with a burn survivor's level of distress, indicating that one's ability to cope may be a better predictor of distress rather than burn severity alone. Premorbid psychiatric history was significantly associated with increased levels of distress. While burn severity was associated with length of stay, level of distress did not act as a partial mediator. Length of stay was, however, significantly related to having a premorbid-psychiatric history. Of notable interest, a significant racial, ethnic, and gender difference exists in level of distress. Women and people of color experience higher levels of distress holding constant burn severity and psychiatric history., CONCLUSION: A need exists to assess for and address premorbid and current mental health challenges of burn survivors, specifically the ability to cope, especially among people of color and women, regardless of the burn size or severity. Copyright © 2019 Elsevier Ltd and ISBI. All rights reserved.

Over the past decade, the Agency for Healthcare Research and Quality and The Joint Commission have identified that communication problems are a root cause of most serious adverse events and that patients with limited English proficiency are more likely than others to suffer physical harm when such errors occur. It is essential to educate nursing students on the challenges of patients with limited English proficiency and empower them with tools, such as the National Culturally and Linguistically Appropriate Services standards, to minimize this phenomenon in their future nursing practice. We describe an educational intervention designed to accomplish this using Kolb’s experiential learning theory as a foundation for implementation.

This study examined student, parent, and faculty perceptions of academic development needs and related comprehensive school counseling program services from four urban middle and high schools. Participants (n = 1,032) completed a survey designed to assist schools in planning and evaluating their career and college readiness programs, and exploring perceived student support needs. Statistically significant differences were observed in stakeholder perceptions among 12 identified interventions that support improved academic development, through factorial analysis of variance (ANOVA) and pairwise comparisons analysis. Findings provide valuable information about prioritizing student academic counseling services strategically and effectively, to meet program needs of students in high-poverty schools.

“Build the Social Justice Bridge” was a participatory photography project that engaged international group workers in an assessment of group work as a social justice profession. Inspired by principles of photovoice research, the project invited social work students, educators, and practitioners from around the world to contribute photographs and brief narratives that represented the relationship between group work and social justice. The photographs were exhibited during the opening session of the 2018 Symposium of the International Association for Social Work with Groups (IASWG) in South Africa, where more than 200 participants from ten countries reflected on the meaning of the photos for the group work community. In viewing the photos, symposium participants identified a common vision of social justice as well as culturally-specific approaches to group work. Implications are drawn for the internationalization of professional knowledge. © 2019 Taylor & Francis Group, LLC.

Does relationship bank oversight reduce firm default risk and improve firm operational efficiency? I find that a new loan from a relationship bank reduces the default probability and increases the efficiency of a borrowing firm, benefiting both banks and borrowers. Moreover, inefficient and less creditworthy firms experience the highest reductions in their default risks and improvements in their efficiencies in the years following new relationship bank loans. Further, these benefits are disrupted when the relationship bank is acquired.

What is the future of the relationship between Organizational Behavior Management (OBM) and education? This article presents a discussion of some current issues in education as opportunities for the integration of OBM frameworks and practices. Opportunities are examined in the context of systems-level supports and leadership in education. We hypothesize that an integration of OBM principles and applications has the potential to help educators address multiple critical issues in the field of education, specifically: (a) educator needs at the individual-level, such as educator burnout, engagement, and performance; (b) implementation fidelity of system-wide initiatives and evidence-based interventions; and (c) educator needs at the leadership-level, particularly the training of educational leaders. Recommendations for how OBM researchers and practitioners can expand engagement with educational settings are explored. Given the impact of organizational leadership, we emphasize the future collaboration between OBM and educational leadership, specifically the inclusion of OBM principles and applications in pre-professional curricula and professional continuing education training.

.SCHOOL NURSE RESOURCE MANUAL NINTH EDITIONEVIDENCED-BASED POLICIES and PROCEDURES for SAFE STUDENT CARE. The School Nurse Resource Manual was created for school nurses as a quick reference on the many issues they encounter in their practice, and to assist them, their administrators and consulting physicians to develop consistent evidenced-based policies and procedures for safe student care. This ninth edition contains clinical guidelines that have been completely updated, expanded and revised to reflect current clinical guidelines for safe student care. ALL GUIDELINES ARE RESEARCHED, REFERENCED AND PEER REVIEWED.

.SCHOOL NURSE RESOURCE MANUAL NINTH EDITIONEVIDENCED-BASED POLICIES and PROCEDURES for SAFE STUDENT CARE. The School Nurse Resource Manual was created for school nurses as a quick reference on the many issues they encounter in their practice, and to assist them, their administrators and consulting physicians to develop consistent evidenced-based policies and procedures for safe student care. This ninth edition contains clinical guidelines that have been completely updated, expanded and revised to reflect current clinical guidelines for safe student care. ALL GUIDELINES ARE RESEARCHED, REFERENCED AND PEER REVIEWED.

.SCHOOL NURSE RESOURCE MANUAL NINTH EDITIONEVIDENCED-BASED POLICIES and PROCEDURES for SAFE STUDENT CARE. The School Nurse Resource Manual was created for school nurses as a quick reference on the many issues they encounter in their practice, and to assist them, their administrators and consulting physicians to develop consistent evidenced-based policies and procedures for safe student care. This ninth edition contains clinical guidelines that have been completely updated, expanded and revised to reflect current clinical guidelines for safe student care. ALL GUIDELINES ARE RESEARCHED, REFERENCED AND PEER REVIEWED.

The United States Information Agency acted as a significant patron of American independent and nontheatrical filmmakers during the 1960s, commissioning short documentaries to carry positive messages about America to foreign audiences. While much of the existing scholarship on the USIA’s motion picture output focuses on works that address major policy issues such as the civil rights movement or that were made by directors who went on to have well-known careers, many of its films and directors have been forgotten. One such filmmaker is Tibor Hirsch, whose past as a refugee from the 1956 Hungarian Revolution influenced his films Transportation USA (1966) and Six Who Fled (1972). Hirsch’s earlier career as a photojournalist informed his work for the USIA, while the style he developed through making government films led directly into his later career as a highly successful television commercial director.

This paper examines the feasibility of environmentally sustainable growth in a competitive market economy assuming various types of technological changes affecting pollution emissions and ultimately climate change. We consider two final outputs and two factors of production, accounting for both pollution flow and stock effects. If the initial level of pollution emissions satisfies certain boundary conditions, a Pigouvian pollution tax may assure sustainable growth without any further government intervention. This is true even if exogenous technological change is assumed to benefit exclusively the pollution-intensive industries (the “dirty” sector). A consumers’ composition effect (often neglected in the literature), driven by an endogenous change in the relative prices between clean and dirty final goods under an optimal pollution tax, plays a critical role in the structural transformation process to achieve long-run sustainable economic growth.

Sexual identity development has traditionally been theorized about from within heteronormative societies founded on patriarchal notions with links to misogyny, racism, and classism, among others. These forms of domination have constrained the way sexual identity has been conceived of, researched and written about within the mental health fields and limited the efficacy of clinical work with all people but especially sexual minorities and those who are gender non-binary. In this chapter the authors will deconstruct heteronormativity, examine the deleterious effect of it on mental health, and locate the influence of intersections of oppression on the field of SFT theory and in clinical work. An LGBTQI (lesbian, gay, bisexual, transgender, questioning, intersex) affirmative clinical framework developed from systems theory and queer theory will be outlined, and then a case study using the framework will be described.

Drawing on research conducted in Cuzco, Peru, The Wari Civilization and Their Descendants: Imperial Transformation in Pre-Inca Cuzco, Peru analyzes the political and social transformations that led to the downfall of the Wari civilization in the Andean Middle Horizon period (AD 500–1000) and resulted in the rise of the Inca state. The contributors to this collection present evidence of the Wari civilization’s robust, imperialistic occupation of Cuzco, and argue that this presence laid the groundwork for later regional polities that can be traced to the Late Horizon Inca period (AD 1476–1532). This collection fills a gap in scholarly literature on Cuzco prehistory, the provincial southern highlands of the Wari civilization, and early imperialism in the Andes.